HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/05/2017 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Mechanical I
PROPOSED IMPROVEMENT LOCATION:
Address: 2703 N A1A APT E
Legal Description: CORAL COVE BEACH - SECTION ONE- BLK 7 N 16.66 FT OF S 30.24 FT OF LOT 8 AND E 10 FT
VAC ALLEY ADJON W
Property Tax ID k: 1425-701-0167-420-8
Site Plan Name:
Project Name:
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 2.5 TON CARRIER A/C SYSTEM, 16 SEER WITH 10 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION:
rtiona work to be nertormed under tispermit—check all appy:
10HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator 11 Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,992.00
5Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOHN GRAHAM
Name: JAMES F GRIMES
Address: 2703 N AWA APT E
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 772-828-8956
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No. 772-461-8711
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
n varve or construction is $zbuu or more, a imcoxueo Notice of Commencement is required.
. , a i
UPP I ° ��S RYCITT N 7"
TQM
ZONING
SUPERVISOR
DESIGNER/ENGINEER:
x Not
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
EState:
Address:
City:
REVIEW
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
COMPLETE
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � t,U�iI= COUNTY OF LUC 1C=
The forgoing inrume t was acknowledged before me The forgoing instrument was acknowledged before me
this _5_ day of �' l 20 J lby this f�> day of 20 20 L—L by
JA-WaS F GkUR L iJkWlEs F &' 1_>A MES
(Name of person acknowledging) (Name of person acknowledging )
of Notary
Personally
Type of Ick
Commission No.
Revised 07/15/2014
-State of Florid ) signature of Notary Public- State of Florida}
OR Produced Identification Personally Known OR Produced Identification
++� Type of Identificatfon Produced
':'Y"••., SUSAN MONTEN
'�^''• # GG 089099
Commission No. •"''t'•"ro COMMISSION#G 08
K14E�L.''<r EXPIRES: Ayri12, 2011 ?' r '' � RO
MY COMMISSION # GG 089099
�;,,ti •' 9ondeG Trac Notal Puck UnEawNeir i' ;ri M2.2021
1 +... ' ,kV Bonded TMu Notary Pudic UMWMIAi
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 9198746 Date: 6/28/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: CA16NA030'0"A'
Indoor Unit Model Number: FX4DN(B,F)037L
Manufacturer: CARRIER AIR CONDITIONING
TradelBrand name: CARRIER AIR CONDITIONING
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, ON, OR, PA, RI, SD, UT, VT, WA, Will WI, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be
installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name: 16 SEER AC
Manufacturer responsible for the rating of this system combination Is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 2101240.2008 for Unitary Air -Conditioning and Air -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI•sponsored, independent, third
party testing:
Cooling Capacity (Btuh): 29400
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
IEER Rating (Cooling):
parous Iolloaed by an asbask I'I animus a voluntary remte of previously published data. unless accanpanietl war a WAS. wnnh indi.bn en Involuntary resale.
DISCLAIMER
AHRI does not endorse the pmaualls) listed an this Certificate and makes no reprewmvbMons, warranties or guarantees as to, and assumes no anduck sibllity for,
the products) Incea an cola Certlllcate. AHRI a 1dady disc alme all liability for damages of any fund arising out of the use or performance of the products), or the
au irmaea alteration of data listed an this Certificate. CeUHled mUngs ere valk only for models and configurations listen to the
directory at www.amli irectory.org.
TERMS AND CONDITIONS ■ ■ ,
This Certificate and Its contents are powerlabry products of AHRI. This CertifiwM shall only be used for Individual. personal and
enterentialed
a computrdatabeference s.Thetothen6ofmle CemflaMemay or manner
or or ads menere except for
disseminated; ^'.■r
mrsred mm a computer dreahace: or pcnemfw umizea, m am corm m manner or q orry meam, except ror me leer s mamaaat,
CERTIFICATE
VERIFICATION
e. p IREFRIGTIGNINNINoltril,
CERTIFICATE for the made, cited
&REFRIGERATION INirIn1TE
and inter Me AHRI UemedReferec mumat br andtedtcaw can e ver"Ichd at www.placatewst boung,glck on'Vedly Certificate' link na4elite bell'
and enter Ne AHRI Certified Reference Number and Noted date on bottom Ne certifiram was IswM,
which Is IlsTetl above. and the Certificate No., which Is listed at bottom right
02014 Air-conditioning, Heating, anti Refrigeration Institute CERTIFICATE NO.: ta,aataslzeoaToaTs